| NPI | 1649627704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 63894) |
| 207R00000X Internal Medicine (Licence: CA A168706) | |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2022-05-17 |